Individual provider Active NPI

Francesco Pontoriero, DO

  • Student in an Organized Health Care Education/Training Program
  • North Brunswick, NJ
National Provider Identifier
1508364951
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1490 Livingston Ave
North Brunswick, NJ 08902-1832
Phone
(732) 745-3029
Fax
(228) 262-0526
NPI assigned
Jan 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Pathology Physician 207ZF0201X H84851 MD
Forensic Pathology Physician 207ZF0201X OS019364 PA
Forensic Pathology Physician 207ZF0201X 25MB10504000 NJ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X H84851 MD
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X OS019364 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MB10504000 NJ
Pediatric Pathology Physician 207ZP0213X OS019364 PA
Pediatric Pathology Physician 207ZP0213X 25MB10504000 NJ
Pediatric Pathology Physician 207ZP0213X H84851 MD
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1490 Livingston Ave
North Brunswick, NJ 08902-1832

Mailing address

1490 Livingston Ave
North Brunswick, NJ 08902-1832
Phone (732) 745-3029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS019364PAMDAnatomic Pathology & Clinical Pathology Physician
H84851MDMDPediatric Pathology Physician
25MB10504000NJMDPediatric Pathology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1508364951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 LIVINGSTON AVE",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021832",
            "telephone_number": "732-745-3029",
            "fax_number": "228-262-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 LIVINGSTON AVE",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021832",
            "telephone_number": "732-745-3029",
            "fax_number": "228-262-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTORIERO",
        "first_name": "FRANCESCO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "MD",
            "license": "H84851",
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "PA",
            "license": "OS019364",
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "NJ",
            "license": "25MB10504000",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "H84851",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "OS019364",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MB10504000",
            "primary": false
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "PA",
            "license": "OS019364",
            "primary": false
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "NJ",
            "license": "25MB10504000",
            "primary": false
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "MD",
            "license": "H84851",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.